Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait

Completed

• Conditions: Stroke
• Interventions: Other: No intervention

• Registration Number: NCT02504073
• Lead Sponsor: Technical University of Bern

Brief Summary

The goal of this study is to find out what clinical reasoning process physiotherapists undergo when observing hemiplegic patients gait.

Detailed Description

Physiotherapists don't usually use any assessments to evaluate gait but observe it without an instrument. The questions in this study are:

* what abnormalities can physiotherapists detect when observing a patient walking?

* what do they consider the main problem that has a negative effect on the patient's walking?

* what hypothesis do they generate?

* how is the inter-rater reliability for the "main problem" and the hypothesis?

Study Timeline

• Study Start: 2015-03
• Primary Completion: 2015-06
• Study First Submitted: 2015-07-15
• Study First Submitted QC: 2015-07-17
• Study First Posted: 2015-07-21
• Study Completion: 2015-12
• Results First Submitted: 2016-03-13
• Status Verified: 2017-04
• Results First Submitted QC: 2017-04-23
• Last Update Submitted: 2017-04-23
• Results First Posted: 2017-08-02
• Last Update Posted: 2017-08-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
PT's working in stroke in NW-Switzerland	No intervention	54 Physiotherapists (PT's) working in north-west Switzerland (at Bruderholzspital, RehaB Basel, Klinik Tschugg, Reha Rheinfelden, RehaClinic Zurzach) are asked to analyse videos of 6 hemiplegic patients when walking. They are asked to write down their main observations, the major problem and hypotheses about how this major problem is produced. There is no intervention.

Primary Outcome Measures

Name	Time	Method
Number of Gait Abnormalities Observed	up to 2 months	The questionnaire will be the basis of this study as it will be the basis for open coding. It is handed out to 54 observers (=physiotherapists) and will be filled in 6 times (for 6 patient videos).; The questionnaire consists of 3 main questions: 1. what gait abnormalities do you see?; 2. What do you consider the main problem (1 sentence); 3. what is your hypothesis (max. 3) The question one delivers different items (each new observation is a new item) that were determined patient by patient and rater by rater by three independent researchers. They were then listed and categorised by consensus. Finally, the frequency of each item was analysed globally and for each patient.
Number of Main Problems Observed	up to 2 months	This outcome is a result of the second part of the Questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified the main statements from the sentences written. Items were afterwards categorised. Finally the frequency of each item was analysed globally and for each patient.
Number of Hypotheses Observed	up to 2 months	This outcome is a result of the third part of the questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified and categorised all the listed hypotheses from question number three of the questionnaire. After that the use frequency of each item was analysed globally and for each patient.